Vitreo Retinal Center Pc

LBN: Vitreo Retinal Center Pc
Vitreo Retinal Center Pc is an health care organization with primary practice located at 4221 Washington Ave , Evansville IN 47714. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. Vitreo Retinal Center Pc can be contacted via phone (812) 476-6500, or through Samuel, Prince D via phone (812) 476-6500.

Contact Information

Primary practice address
4221 Washington Ave Evansville IN 47714
Phone: (812) 476-6500
Fax: (812) 476-6507
Website:
Map and Directions
Authorized official contact:
Name: Samuel, Prince D Doctor of Medicine (MD)
Phone: (812) 476-6500

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X

Profile Details

NPI number 1841333036
LBN Legal business name Vitreo Retinal Center Pc
DBA Doing business as
Authorized official Samuel, Prince D Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 15th, 2007
Last updated Aug 8th, 2018 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841333036 NPPES
Indiana MEDICAID 200885330A

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